Pre Class Form Liability Waiver Form Name * Name First Name First Name Last Name Last Name Email * Postal address * Mobile Phone * Date of Birth * Emergency Contact Emergency Contact Name * Emergency Contact Phone Number * Injuries I understand that I undertake this exercise program and use all the facilities and equipment at The Livingroom at my own risk. Prior to exercising I must disclose any health conditions, whether I am pre or post-natal, and have obtained clearance from my general practitioner with regards to such conditions. I take it upon myself to discuss any changes to my current health with my instructor. I recognise that the instructor is not able to provide me with medical advice with regard to my medical fitness and that the information provided is used as a guideline to the limitations of my ability to exercise. Do you agree? * I agree Submit If you are human, leave this field blank.
